The Impact of Patient Satisfaction With Nursing Care Services, Switching Costs and Perceived Risk on Intention of Reuse in the Emergency Medical Center

2011 ◽  
Vol 17 (4) ◽  
pp. 432
Author(s):  
Hyun Jeong Kim ◽  
Young-Hee Yom
Keyword(s):  
Patient Satisfaction ◽  
Nursing Care ◽  
Perceived Risk ◽  
Switching Costs ◽  
Medical Center ◽  
Care Services ◽  
Emergency Medical ◽  
The Impact

The link between nurse workplace environment and patient satisfaction with nursing care services

2017 ◽  
Vol 4 (2) ◽  
pp. 267-274
Author(s):  
Hayder AL- Hadrawi
Keyword(s):  
Patient Satisfaction ◽  
Nursing Care ◽  
Teaching Hospitals ◽  
Practice Environment ◽  
Workplace Environment ◽  
Nurse Practice Environment ◽  
Patients Satisfaction ◽  
Care Services ◽  
The Impact

Patient satisfaction has become an integral part of the process of measuring the quality of the provided care. Patients’ satisfaction about healthcare services increases in institutions that provide healthy workplace environment for nurses.This quantitative study aims to measure the impact of nurse practice environment on patients’ satisfaction with the provided nursing care services. A cross-sectional design was conducted to survey 75 male and female nurses and 107 inpatients who were hospitalized at least one day and aged 17 years and older. Sample was selected from medical and surgical wards of two main teaching hospitals in AL-Najaf province, Iraq.The results show that 80% of the nurses work in poor practice environment. About 52% of the patients were partially satisfied with nursing care; whereas, about 47% of the patients were unsatisfied. A significant correlation was found between nurse practice environment and patients’ satisfaction p < .05; regression analysis shows that patients’ satisfaction can be predicted based on nurse-patient ratio. Conclusion: Enhancing the practice environment of nurses helps improving the quality of healthcare and achieving better level of patients’ satisfaction with nursing care services.  Keywords: Nurses workplace; patient satisfaction; practice environment; nursing care;   

Validating the primary provider theory in emergency medicine

2008 ◽  
Vol 21 (2) ◽  
pp. 120-130 ◽  
Author(s):  
Joseph S. Guarisco ◽  
Stefoni A. Bavin
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
Pay For Performance ◽  
Medical Center ◽  
Waiting Times ◽  
Emergency Department Visits ◽  
Business Success ◽  
Content Type ◽  
The Impact

PurposeThe purpose of this paper is to provide a case study testing the Primary Provider Theory proposed by Aragon that states that: disproportionate to any other variables, patient satisfaction is distinctly and primarily linked to physician behaviors and secondarily to waiting times.Design/methodology/approachThe case study began by creating incentives motivating physicians to reflect and improve behaviors (patient interactions) and practice patterns (workflow efficiency). The Press Ganey Emergency Department Survey was then utilized to track the impact of the incentive programs and to ascertain any relationship between patient satisfaction with the provider and global patient satisfaction with emergency department visits by measuring patient satisfaction over an eight quarter period.FindingsThe findings were two‐fold: firstly, the concept of “pay for performance” as a tool for physician motivation was valid; and secondly, the impact on global patient satisfaction by increases in patient satisfaction with the primary provider was significant and highly correlated, as proposed by Aragon.Practical implicationsThese findings can encourage hospitals and physician groups to place a high value on the performance of primary providers of patient care, provide incentives for appropriate provider behaviors through “pay for performance” programs and promote physician understanding of the links between global patient satisfaction with physician behaviors and business growth, malpractice reduction, and other key measures of business success.Originality/valueThere are no other case studies prior to this project validating the Primary Provider Theory in an urban medical center; this project adds to the validity and credibility of the theory in this setting.

Oncology urgent care to decrease unnecessary emergency room visits.

2019 ◽  
Vol 37 (27_suppl) ◽  
pp. 212-212
Author(s):  
Maura Abbott ◽  
Laureen Hill ◽  
Deepa Kumaraiah ◽  
Christina Russomanno ◽  
Yelena Ustoyev ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Emergency Room ◽  
Cancer Diagnosis ◽  
Nurse Practitioners ◽  
Medical Center ◽  
Care Center ◽  
Urgent Care ◽  
Wait Times ◽  
Life Threatening ◽  
The Impact

212 Background: In March 2019, Columbia University Irving Medical Center (CUIMC)/New York Presbyterian (NYP) piloted an oncology urgent care center, Oncology Care Initiation Unit (OCIU). Patients currently on therapy were referred to OCIU Nurse Practitioners (NP) by primary Oncology Teams for acute, non-life threatening complaints for management. We evaluated the impact of the OCIU on preventing unnecessary emergency room (ER) visits, patient wait times, and patient satisfaction. Prior to the OCIU, 52% of oncology patients presenting to the ER were discharged indicating that an ER visit most likely was not needed. Average wait time for evaluation in ERs for non-critical patients is 7 to 9 hours and can be another 7 to 9 hours for intervention. Methods: We opened the 8-week OCIU pilot to Thoracic and Gastrointestinal (GI) Oncology, and Sarcoma patients who had an acute, non-life threatening complaint from, 8AM to 6PM, Monday to Friday. We collected data on all OCIU patient referrals from 3/7/2019 to 5/2/2019, including patient demographics, primary cancer diagnosis, chief complaint, wait times, interventions, disposition and patient satisfaction using a validated 5 question satisfaction survey. Results: During the pilot, we received 51 referrals, 44 (86%) were considered OCIU appropriate and evaluated; 25 (57%) had a GI cancer diagnosis, 14 (32%) Thoracic cancer diagnosis, and 5 (11%) Sarcoma. Primary chief complaints in order of frequency were pain, GI distress, and dyspnea. 44 (100%) had no wait to be evaluated by the OCIU NP. 33 (75%) of OCIU patients were discharged home, 9 (20%) were directly admitted, and 2 (5%) were transferred to the ER. Patients not requiring invasive intervention were discharged home within thirty minutes of their appointment. Patients requiring infusions, radiology services, and/or paracentesis or thoracentesis were discharged within 4 hours of appointment time. 100% patient satisfaction was reported. Conclusions: Implementation of the OCIU has led to decreased ER visits, wait times for evaluation and management, and increased patient satisfaction. These findings support the need for the OCIU, as well as increasing access to the OCIU by extending to additional HICCC patients.

scholarly journals The Impact of Linguistic Concordance and the Active Offer of French Language Services on Patient Satisfaction

2022 ◽  
Vol 5 (2) ◽  
Author(s):  
Patrick Timony, MA, PhD (c) ◽  
Alain Gauthier, PhD ◽  
Elizabeth Wenghofer, PhD ◽  
Amelie Hien, PhD
Keyword(s):  
Patient Satisfaction ◽  
Family Physician ◽  
Health Care Services ◽  
Family Physicians ◽  
French Language ◽  
Language Services ◽  
Care Services ◽  
French Speaking ◽  
The Impact ◽  
Consistent Tendency

Communication is essential to providing quality primary care. Linguistic concordance between patients and physicians has been linked to improved health outcomes and greater patient satisfaction. Although Canadian Francophones often struggle to access linguistics concordant health services, the concept of the active offer of French Language Services (FLS) has emerged as a means of ensuring the availability of such services and improving the francophone patient experience.  However, the impact of language concordance and the active offer of FLS on patient satisfaction among Ontario Francophones remain largely unknown. Patient satisfaction surveys were collected as part of a continuing education program targeted at family physicians in Northeastern Ontario.  Participating physicians distributed patient surveys consisting of select patient satisfaction questions from the Physicians Achievement Review (PAR) and select questions from the Active Offer of French Language Services in Minority Context Measure. Valid surveys were received from 235 patients. Just under half of these (44%) identified as Francophones, 62.6% had a French-speaking family physician; however, only 17.2% reported regularly speaking in French with their family physician.  As hypothesized, there was a consistent tendency for Francophones who experience stronger linguistic concordance with their family physician to report higher satisfaction scores. Francophones who regularly speak French with their family physicians were more satisfied ( = 4.63) than those who rarely/never speak French ( = 4.29, F(1; 83) = 4.852; p < 0.05).   There was also a statistically significant interaction between the patients' language of preference and the service language. Francophones who prefer French and regularly speak it with their family physician (linguistic concordance; adj= 4.82) were significantly more satisfied than those who prefer French yet rarely/never speak it (linguistic discordance; adj= 4.06, F(1; 75) = 11.950; p < 0.001). Furthermore, a positive correlation between patient satisfaction and the active offer was observed in Francophones (r = 0.49, p<0.001). The present findings provide evidence of the impact of linguistically adapted health care services on the satisfaction of Ontario Francophones and suggest that patient satisfaction may be improved through the active offer of FLS. A larger and more diverse sample is required to confirm these findings.

scholarly journals Developing An Analytic Approach to Understanding the Patient Care Experience

2016 ◽  
Vol 3 (4) ◽  
pp. 151-154 ◽  
Author(s):  
Mary Kate Springman ◽  
Yalissa Bermeo ◽  
Heather M Limper ◽  
Alison S Tothy
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Patient Care ◽  
Patient Experience ◽  
Medical Center ◽  
Analytic Approach ◽  
Care Experience ◽  
Patient Voice ◽  
Reporting Tool ◽  
The Impact

The amount of data available to health-care institutions regarding the patient care experience has grown tremendously. Purposeful approaches to condensing, interpreting, and disseminating these data are becoming necessary to further understand how clinical and operational constructs relate to patient satisfaction with their care, identify areas for improvement, and accurately measure the impact of initiatives designed to improve the patient experience. We set out to develop an analytic reporting tool deeply rooted in the patient voice that would compile patient experience data obtained throughout the medical center.

The Impact of Continuity of Nursing Care Personnel on Patient Satisfaction

1994 ◽  
Vol 24 (10) ◽  
pp. 64 ◽  
Author(s):  
Janet Bostrom ◽  
Julie Tisnado ◽  
Joann Zimmerman ◽  
Nicole Lazar
Keyword(s):  
Patient Satisfaction ◽  
Nursing Care ◽  
The Impact

Impacting Readmission Rates and Patient Satisfaction: Results of a Discharge Pharmacist Pilot Program

2011 ◽  
Vol 46 (11) ◽  
pp. 876-883 ◽  
Author(s):  
Samaneh Tavalali Wilkinson ◽  
Pal Aroop ◽  
J. Couldry Richard
Keyword(s):  
Patient Satisfaction ◽  
High Risk ◽  
Readmission Rate ◽  
Medical Center ◽  
Academic Medical Center ◽  
Control Group ◽  
Unplanned Readmission ◽  
Discharge Process ◽  
Readmission Rates ◽  
The Impact

Background Readmission to a hospital within 30 days of discharge has become a key quality outcome measure. With an observed 30-day readmission rate as high as 20% and attributed costs of almost $17.4 billion a year for Medicare patients, the potential implications for patients and the entire health care system are significant. Medication-related complications have been shown to increase the risk for unplanned readmission. Pharmacists have an opportunity to impact quality and cost by risk stratifying and identify patients at high risk for hospital readmission. Objective To study the impact of a pharmacist-driven discharge counseling program for high-risk patients identified by BOOST (Better Outcomes for Older adults through Safe Transitions) criteria on 30-day readmission rates. Method This was a prospective, cohort, nonrandomized trial at a single medical-surgical unit with telemetry capability at a single academic medical center including 669 patients who were older than 18 years. Primary outcome was 30-day readmission rate. Secondary outcomes were the number and type of pharmacist interventions, cost avoidance, and patient satisfaction results. Results The readmission rate for patients counseled by a pharmacist during the discharge process was 15.7% compared to 21.6% for patients not counseled by a pharmacist on discharge (relative risk [RR] 0.728; 95% confidence interval [CI], 0.514–1.032; P = .04). The readmission rate for adult medicine patients not counseled at discharge by a pharmacist in the study was comparable to the readmission rates of a similar patient control group at 3 months and 1 year prior to the initiation of the study (18.7% and 19.1% vs 19.6%). Conclusions Pharmacists' support in the discharge process facilitated increased communication on the multidisciplinary team and resulted in a lower unplanned readmission rate for patients.

The effect of corporate social responsibility (CSR) health-care services on patients’ satisfaction and loyalty – a case of Bangladesh

2019 ◽  
Vol 16 (2) ◽  
pp. 145-158
Author(s):  
Md. Shamim Hossain ◽  
Sofri B. Yahya ◽  
Mohammad Jamal Khan
Keyword(s):  
Health Care ◽  
Corporate Social Responsibility ◽  
Patient Satisfaction ◽  
Social Responsibility ◽  
Health Care Services ◽  
Partial Least Square ◽  
Content Type ◽  
Care Services ◽  
Corporate Social ◽  
The Impact

Purpose Although research on patient satisfaction and loyalty has grown rapidly, the literature on corporate social responsibility (CSR) health care and patient satisfaction and loyalty is scarce. This paper aims to examine the impact of CSR health care on patient satisfaction and loyalty in Bangladesh. Design/methodology/approach A quantitative study was performed, and data were collected using purposive sampling among 195 patients who used CSR health-care services from six public and private hospitals in Bangladesh. The data were analysed using structural equation modelling through the partial least square approach. Findings The study found a significant positive relationship between CSR health-care services and patient satisfaction and between patient satisfaction and loyalty at p < 0.01. Research limitations/implications The study provides insights into policymakers in the development of Bangladesh health sectors and CSR health-care activities. However, the results might not be generalisable due to the unavailability of a sample frame. Originality/value The study addresses the lacuna in the literature on CSR health-care practices of hospitals in Bangladesh from the perspective of patient satisfaction and loyalty.

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